Gunderson, Paul L.

Gunderson, Paul L. is an individual health care provider with primary practice located at 190 Groton Rd , Ayer MA 01432-1124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gunderson, Paul L. can be contacted via phone (978) 772-4000.

Contact Information

Primary practice address
190 Groton Rd Ayer MA 01432-1124
Phone: (978) 772-4000
Fax: (978) 772-3066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 33474 Massachusetts

Profile Details

NPI number 1346260726
LBN Legal business name Gunderson, Paul L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346260726 NPPES
Massachusetts MEDICAID 2039141
Massachusetts MEDICAID 99904033

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